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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to Envisioi-Connect by CERS Integration Wizard <br /> Date run: 1/21/2015 <br /> Submitted on: 1/15/2015 11:04:03AM CERS ID: 10140273 <br /> Submitted by: Sarah Elsokkary Email: Sarah.Elsokkary@arcadis-us.com Facility ID in CERS: FA0015750 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0012681 <br /> Owner name THE HOME DEPOT U.S.A., INC. THE HOME DEPOT U.S.A., INC. 111 <br /> Mailing address 2455 PACES FERRY ROAD, C-19 2455 PACES FERRY ROAD, C-19 113 <br /> ATLANTA, GA 30339 ATLANTA, GA 30339 114, 115, 116 <br /> Work phone 770-433-8211 770-433-8211 x82714 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015750 <br /> Facility name THE HOME DEPOT DISTRIBUTION CENT THE HOME DEPOT DISTRIBUTION CENT 3 <br /> Site address 18300 S Harlan Rd 18300 S Harlan Rd 103 <br /> City Lathrop Lathrop 104 <br /> ZIP code 95330 95330 105 <br /> Facility phone 209-858-9243 209-858-9243 102 <br /> Facility mailing address 160 Chapel Road, Suite 201 160 Chapel Road, Suite 201 c/o Complian 108a <br /> Manchester, CT 06042 Manchester, CT 06042 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name THE HOME DEPOT DISTRIBUTION CENT ARCADIS U.S., INC. 140 <br /> Address 160 Chapel Road, Suite 201 160 CHAPEL ROAD, SUITE 201 c/o COMP 143 <br /> Manchester, CT 06042 ✓ MANCHESTER, CT 06042 144, 145, 146 <br /> Contact phone Not Specified 860-645-0184 141 <br /> Contact email tierlladministrator@arcadis-us.com tierlladministrator@arcadis-us.com 142 <br /> Mail invoices to J6; d 1 <br /> ic <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> / y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: \AA Date: <br /> Accounting: Reviewed by: Gl Date: 3 /D /^ Clerical: [ ] File [ ] Relabel file [ J Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0523321 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0535762 MICHELLE HENRY Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0527995 ALFONSOARAMBULA Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533230 not assigned Inactive [ ] [ ] <br />